Individual
AGHEIGH NICKY LANKERANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4100 COLLEGE AVE, ELLICOTT CITY, MD 21043-5506
(443) 364-5500
Mailing address
11238 PEARTREE WAY, COLUMBIA, MD 21044-4337
(240) 994-3770
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
DO034285
DC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H0067372
MD
Other
Enumeration date
03/04/2007
Last updated
10/19/2009
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